Tijdschrift voor kindergeneeskunde
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Although during the past few years more knowledge on pain and analgesia in the neonate has been acquired, adequate treatment is not always given. To achieve better understanding and treatment of pain in newborn infants, a review of pain perception and pain assessment is given as well as guidelines regarding its prevention and treatment. A proper assessment and an adequate relief of pain contributes to the quality of care for the newborn infant.
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Tijdschr Kindergeneeskd · Apr 1993
[Pediatric Pain Groups. Management related to pain in hospitalized children].
By means of multidisciplinary Pediatric Pain Groups in hospitals possibilities are created to implement recent knowledge about prevention of pain and relief of pain in children. The activities of these groups are amongst others: developing and testing pain protocols, applying systematic pain assessment and giving information about pediatric pain. These activities result in a reduction of pain in children and in prevention of needless suffering of pain in hospitalized children.
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Based upon the definition of pain by the International Association for the Study of Pain, the concept of pain has been differentiated into nociception, sensation, experience and behaviour (Loeser's model). The physiology of the modulation of pain is represented by the theory of Melzack & Wall. Some specific childhood problems in the experience and the assessment of pain are discussed.
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In this paper an account is given of a research on how parents experience and react to their child's treatment in the Intensive Care Unit of the Academic Medical Centre of Amsterdam. The purpose of this research was to gain insight into how this period influenced parents and to make an inventory of the problems parents were being confronted with. ⋯ One of the reasons why this kind of study has been done into a descriptive/exploring style is because such research is practically new in the Netherlands. The main results will be described and some recommendations will be made how to improve the quality of the guidance of the parents on an ICU.
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Tibial intraosseous infusions can be invaluable in the management of the pediatric patient who is in cardiac arrest or severe shock when vascular access by the intravenous route is unattainable. Recently there has been renewed interest in this procedure. There is a small risk of complications.